查詢結果分析
來源資料
相關文獻
- SAPHO Syndrome: A Case Report
- 中草藥膏藥外敷治療膝關節骨質增生之療效觀察(附88例分析)
- 先天缺損性小眼球症伴有迷離性鞏膜骨質增生
- Postoperative Exostosis of the Xiphoid Process: Report of a Case
- SAPHO Syndrome in a Patient with Breast Cancer, Successfully Treated with Pamidronate
- Unilateral Vocal Fold Paralysis Caused by Diffuse Idiopathic Skeletal Hyperostosis--Case Report
- Orbital Osteosarcoma Masqueraded as Hyperostotic Meningioma
- 牙骨質變異牙齒之病例系列報告
- The Imaging Finding of FDG-PET/CT in a Rare Disease of SAPHO Syndrome
頁籤選單縮合
題 名 | SAPHO Syndrome: A Case Report=SAPHO症候群:病例報告 |
---|---|
作 者 | 蔡孟原; 黃哲勳; 楊宗龍; 陳坤煌; 葉力仁; | 書刊名 | 中華放射線醫學雜誌 |
卷 期 | 31:6 民95.12 |
頁 次 | 頁317-321 |
分類號 | 416.26 |
關鍵詞 | SAPHO症候群; 骨質增生; 胸鎖關節; 後天性骨增生症候群; SAPHO syndrome; Hyperostosis; Sternoclavicular joint; Acquired hyperostosis syndrome; |
語 文 | 英文(English) |
中文摘要 | SAPHO syndrome 是一種罕見的疾病,有時會誤診為感染性骨髓炎,給予長期抗生素治療;或當病人有原發性腫瘤病史時,誤診為腫瘤轉移。 我們報告一個有乳癌病史的病人合併患有SAPHO syndrome 。這個42 歲女性在1997 年因左側乳癌而開刀。當時的核醫檢查在右胸鎖關節處有異常的攝取。 一年後,病人開始抱怨前胸疼痛。再從1997 到2003 年,一系列的核醫檢查中,可發現在右胸鎖關節,腰椎,髂關節與左邊胸鎖關節都有漸進性異常之核醫攝取。而病人的疼痛是持續而加重的。而在2003 年,更發現病人手掌與腳掌有異常之膿皰。 經過電腦斷層與核磁共振檢查後發現在兩邊胸鎖關節,腰椎,右側髂關節有著多發性不正常的骨質增生與周圍水腫。 我們基於病人的臨床症狀,一系列的胸部X光片,骨質異常增生與皮膚膿皰。腫瘤轉移是可以排除的,而診斷為SAPHO syndrome 。 |
英文摘要 | SAPHO syndrome is a rare disease, and may lead to misdiagnosis of infectious osteomyelitis, resulting in long-term treatment with antibiotics, or osteoblastic metastasis when the patient have primary tumor history. We report a case of SAPHO syndrome who had a primary cancer history. The patient was a 42-year-old patient suffered from left breast cancer and received operation in 1997. Bone scintigraphy showed uptake at right ster-noclavicular junction. She started to complained about anterior chest wall pain one year later. Series of bone scintigraphy from 1997 to 2003 showed pro-gressive uptake at right sternoclavicular junction, spine, sacroiliac joint and the left sternoclavicular junction. The pain persisted and progressed, and pustular skin lesions over palms and soles also developed in 2003. CT scan and MRI study revealed multifocal peculiar hyperostotic bone lesions involving bilat-eral sternoclavicular junction, lumbar vertebra, and right sacroiliac joint, with mild degree sur-rounding marrow edema around the lesions. Base on her clinical history, serial chest films, hyperostosis, and pustular skin lesions, possibility of bone metastasis was excluded and a diagnosis of SAPHO syndrome was made. |
本系統中英文摘要資訊取自各篇刊載內容。